| NPI | 1033409040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MI 4301114297) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301114297) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD60394350) | |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2020-02-10 |